Are you interested in pursuing a career opportunity in Revenue Cycle with a faith based organization? If so, then consider joining the Patient Financial Services team at CHRISTUS Health! Here, you can expect to be part of an organization that strives to extend the healing ministry of Jesus Christ. We value our Associates, and provide a professional work environment with competitive salary and benefits. CHRISTUS Health offers Associates a variety of on-site amenities, which include: a free health and wellness clinic for you and immediate family, renovated on-site gym facility, chapel and a covered parking garage. Please review our position qualifications below. If you feel you are a good fit, then we encourage you to apply and join the CHRISTUS Health family!

Contact will be made with payers through written correspondence, on-line inquiries or phone to obtain claim status, clarification or to escalate resolution of patient accounts. Exhibits excellent verbal and written communication skills.

Reviews account payment for accuracy utilizing an insurance explanation of benefits, on-line resources or contracts. Determines if balance should be moved to the next responsibility party. Able to resolve credit balances by determining if an account is overpaid or over adjusted.

Ensures proper reimbursement for all services. All appeals and/or refunds are filed timely in accordance with payer regulations or contracts.

Responsible to contact CHRISTUS Health facility departments in order to resolve outstanding questions related to account or charge posting information to ensure account integrity and compliance with payer and/or government regulations and to ensure timeliness of follow-up activities.

Performs rebilling functions as appropriate and exhibits knowledge of UB04 and 1500 bill forms and filing requirements. Exhibits an understanding of CPT, HCPCS and ICD-10 coding regulations and guidelines.

Understands state insurance laws and the various appeals processes including but not limited to Insurance Commission filings.

Ensures quality and productivity standards are met. Appropriately documents patient accounting host system or other systems utilized by Patient Financial Services in accordance with policy and procedures.

Maintains thorough and detailed knowledge of state and federal collection laws, third-party payer claims processing and appeal procedures as well as the different payment methodologies. Ensures compliance with state and federal laws regarding all cash collections activities.

Functions as a subject matter expert in assisting facility and other Patient Financial Service associates with account and payer related questions.

Functions effectively within a team and participates and contributes constructively to produce results in a cooperative effort.

Continually seeks to understand and act upon customer needs, concerns, and priorities. Meets customer expectations and requirements, and gains customer trust and respect.

Demonstrates ongoing enthusiasm and commitment to the work assigned.

Works with Supervisor to receive feedback on performance and create a personal development plan.

Requirements

A. Education/Skills

HS Diploma or equivalency required

Post HS education preferred

B. Experience

Minimum of two years of experience and excellent working knowledge of insurance carriers' billing regulations and requirements including claims submission, claims follow-up, appeals process, and focused review processes required.

CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.